Arthroscopic Shoulder Labrum Repair


Goals:

The purpose of my project is to investigate the shoulder’s physical make up, and analyze the surgical procedure that has been performed on me. I had a tear in the labrum of my left shoulder, the labrum being a ring shaped muscle which helps stabilize the humeral head in the socket. Utilizing video and photos from my own operation, I developed a presentation that overviews the tissues being repaired- from inside my own shoulder.

Discoveries:

The shoulder is a very complex system of bones, muscles, nerves, ligaments, tendons, and blood vessels that all act to provide motion and stabilize the humeral head in the socket, while stabilizing the head of the humerus in the socket, called the glenoid. The “skeleton” of the shoulder is created from a connection of four bones, the scapula (shoulder blade), the acromion (part of shoulder blade, and “roof” of shoulder), the clavicle (collar bone), and the humerus (upper arm bone). There are four main joints in the shoulder, each located at the connection between two bones. There are several ligaments that help connect bones together. The most important ligaments are the group that connects the humeral head to the glenoid, as they keep the shoulder from dislocating and maintain stability. The muscles in the shoulder region are located in an area called the rotator cuff, and are connected to the humerus by tendons. The four main muscles of the rotator cuff are the subscapularis (in between pectoral muscle and shoulder), supraspinatus (just below the trapezius muscle on the ventral side), infraspinatus (back of shoulder blade to outside of humeral head), and the teres minor (located under the infraspinatus).

The most common direction for the humeral head to sublux is anteriorly, occurring when the shoulder reaches too far behind the body in an overhead position. The shoulder dislocates posteriorly when pressure is applied that forces the humeral head to the back of the shoulder, such as landing on an outstretched arm.

Challenges:
I did not actually watch a surgery, yet I was able to study video of my surgery to learn the procedure. I was also recovering from surgery when I wrote the paper and struggled to keep up with the work.Without a true work experience it was difficult to write most of the paper concerning work experience.

Looking back:

I would have started the project much earlier, and not have left finishing it until the night before. The day the project is mentioned begin thinking what you would like to do and identify how you will do it. The sooner your project is known the sooner you can make appointments, and the sooner you can write it and finish.

Project Resources:


Bio Project links

http://www.massgeneral.org/conditions/condition.aspx?ID=429&type=conditions

http://www.eorthopod.com/content/shoulder-anatomy


http://orthoinfo.aaos.org/topic.cfm?topic=A00327

http://www.webmd.com/a-to-z-guides/shoulder-problems-and-injuries-topic-overview

http://www.eorthopod.com/content/labral-tears

http://orthopedics.about.com/cs/generalshoulder/a/slap_3.htm









Video links

http://www.proceduresconsult.com/medical-procedures/arthroscopic-repair-of-slap-lesions-OR-procedure.aspx#procedure














PICTURES LINKS

FOR ALL SHOULDER ANATOMY PICS AT BEGINNING OF PAPER USE … http://handsonhealingpt.com/Injuries-Conditions/Shoulder/Shoulder-Anatomy/a~361/article.html





http://www.prohealthcare.org/img/stock/Wall%20Stretch.jpg

http://www.physioadvisor.com.au/assets/256/images/13849256(300x300).jpg

http://www.pponline.co.uk/encyc/img/184_fig1.gif

http://www.beexercise.com/storage/band_row.jpg?__SQUARESPACE_CACHEVERSION=1281143524338